Identifying Laboratory Abnormalities and Radiological Findings in a Medical Condition
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Questions and Answers

What is the purpose of Gerota's fascia in relation to the kidneys?

  • To aid in the removal of waste products from the kidneys
  • To provide a transperitoneal approach to the kidneys
  • To separate the kidneys from the adrenal glands
  • To assist in preventing tumor invasion into surrounding structures (correct)

What type of protection does Gerota's fascia provide in cases of renal trauma or spontaneous renal hemorrhage?

  • Skeletal protection
  • Immune protection
  • Renal and hemodynamic protection (correct)
  • Neural protection

What is the commonality of laboratory abnormalities in cases of retroperitoneal fibrosis?

  • Present in all cases
  • Present in only one-third of cases
  • Present in about two-thirds of cases (correct)
  • Not a significant diagnostic indicator

Which muscle borders the kidneys posterolaterally?

<p>Quadratus lumborum muscle (D)</p> Signup and view all the answers

Which organ borders the left kidney anterolaterally?

<p>Spleen (C)</p> Signup and view all the answers

What is the primary purpose of a biopsy of the retroperitoneal mass?

<p>To exclude malignancy (A)</p> Signup and view all the answers

What is the anatomic structure that may be accessed through a transperitoneal approach during certain urologic operations?

<p>All of the above (D)</p> Signup and view all the answers

What is the most common treatment approach for retroperitoneal fibrosis?

<p>Steroid therapy (D)</p> Signup and view all the answers

What is the primary indication for open or minimally invasive bilateral ureterolysis with intraperitonealization or omental wrapping of the ureters?

<p>Failed medical treatment (A)</p> Signup and view all the answers

Which of the following is NOT a structure that generally requires urologic management?

<p>Spleen (D)</p> Signup and view all the answers

What is the approximate failure rate of ureteral stenting in cases of ureteral obstruction secondary to tumor?

<p>One-half of cases (A)</p> Signup and view all the answers

What is the purpose of contrast enhancement on CT scan, MRI, and PET scan in retroperitoneal fibrosis?

<p>To monitor disease activity and assess response to treatment (A)</p> Signup and view all the answers

What is the primary goal of renal trauma management?

<p>Preservation of renal function (D)</p> Signup and view all the answers

What is the gold standard test for diagnosing and staging a renal injury?

<p>CT scan with IV contrast and delayed images (D)</p> Signup and view all the answers

What is the term for the imaging study that includes delayed contrast imaging to delineate the upper urinary tract collecting system?

<p>CT urogram (A)</p> Signup and view all the answers

In what type of patients may renal artery embolization be an option?

<p>Those who have failed conservative therapy (C)</p> Signup and view all the answers

What is the role of angioembolization in renal trauma management?

<p>To further increase nonoperative management (B)</p> Signup and view all the answers

What is a criterion that would mandate renal imaging?

<p>The presence of gross hematuria (C)</p> Signup and view all the answers

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